ENDODONTIC RETREATMENT USING SURGICAL AND NON-SURGICAL METHODS. A BRIEF REVIEW OF LITERATURE

ABSTRACT

The success rates for root canal therapy, when done under acceptable clinical guidelines and aseptic conditions are generally high. The microbial etiology of periradicular periodontitis is such that it sometimes requires great effort to eliminate the infection from the peri-radicular tissues and the root canal system. Majority of the pariapical radiolucent lesions heal after endodontic treatment uneventfully. However, there may be some cases that require periradicular surgical procedures so that the pathological tissues from the per-apical areas could be removed which could not have been removed by orthograde root canal treatment. In clinical endodontics, such decisions are very important especially when surgical and non-surgical retreatment has to be provided. The aim of the current paper is to briefly discuss the different factors responsible for failures in endodontics, the prognosis and decision making, and to further evaluate the retreatment of surgical and non surgical endodontic procedures as a whole. The factors responsible for success and failure of different treatment modalities have also been addressed in the current descriptive review.

KEYWORDS:

Retreatment, Root Canal Therapy, Clinical Endodontics, Treatment Failure

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